Effect of Mechanically Loaded Neuro-dynamics in Subjects With Thoracic Outlet Syndrome

the study was done to: To assess the effect of Mechanically Loaded Neuro-dynamics on pain reduction in subjects with thoracic outlet syndrome. To assess the effect of Mechanically Loaded Neuro-dynamics on shoulder range of motion in subjects with thoracic outlet syndrome. To assess the effect of Mechanically Loaded Neuro-dynamics on clinical provocative tests in subjects with thoracic outlet syndrome. To assess the effect of Mechanically Loaded Neuro-dynamics on neurophysiological findings in subjects with thoracic outlet syndrome. To assess the effect of Mechanically Loaded Neuro-dynamics on quality of life and psychological status in subjects with thoracic outlet syndrome.

Inclusion Criteria: 1. Subjects from both genders diagnosed with Thoracic Outlet Syndrome will be recruited through direct referrals from their neurosurgeon. 2. Subjects age between 30.8±7.4 years 3. Subjects body mass index = 19.5±2.8 4. Control group includes health volunteer subjects with negative root test results under supervision of neurosurgeon. Exclusion Criteria: The exclusion criteria are: 1. head injury, stroke. 2. epilepsy episodes. 3. mental disorders. 4. cardiovascular disease. 5. having a pacemaker or cochlear implant. 6. pregnancy, oncological episodes, inflammatory disease, myelopathy, degenerative changes in the cervical spine (after verification on computed tomography or magnetic resonance imaging scans). 7. peripheral neuropathies from the level of the arm and COVID-19-related symptoms